The 3-Phase Process in the Cancer Experience of Adolescents and Young Adults.
Identifieur interne : 000B63 ( Main/Corpus ); précédent : 000B62; suivant : 000B64The 3-Phase Process in the Cancer Experience of Adolescents and Young Adults.
Auteurs : Nathalie Belpame ; Marijke C. Kars ; Dimitri Beeckman ; Elsie Decoene ; Marijke Quaghebeur ; Ann Van Hecke ; Sofie VerhaegheSource :
- Cancer nursing [ 1538-9804 ]
English descriptors
- KwdEn :
- MESH :
Abstract
BACKGROUND
When confronted with cancer, adolescents and young adults (AYAs) enter a psychosocial trajectory. Previous research has acknowledged the importance of care adjusted to the specific needs of AYAs. To develop AYA-focused care, in-depth knowledge about the experiences of AYAs with cancer is necessary.
OBJECTIVE
The purposes of this study were to discover the psychosocial experiences of and their meanings for AYAs enduring cancer, as well as its treatment and follow-up, and to capture the basic social psychological process that shaped these experiences.
METHODS
This was a qualitative study in which individual semistructured interviews were conducted with 23 participants aged 15 to 25 years.
RESULTS
A 3-phase process was identified, which demonstrated alterations in the AYAs' experiences and their underlying meanings: (1) maintaining normal life was essential, (2) normal life was slipping away, and (3) evolving toward a new normal life after treatment. Certain core dynamics were present in these 3 phases. Throughout the cancer trajectory, the AYAs attempted to maintain control, redefine the self, and incorporate their cancer experience to the long-term course of life and had varying expectations of their social networks.
CONCLUSIONS
Understanding the process that AYAs with cancer go through and taking into account their experiences can facilitate better psychosocial care for this emotionally vulnerable population.
IMPLICATIONS FOR PRACTICE
Healthcare professionals need to take a patient-centered approach, with a focus on communication, to meet the needs of AYAs throughout the cancer trajectory.
DOI: 10.1097/NCC.0000000000000501
PubMed: 28481777
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pubmed:28481777Le document en format XML
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<author><name sortKey="Belpame, Nathalie" sort="Belpame, Nathalie" uniqKey="Belpame N" first="Nathalie" last="Belpame">Nathalie Belpame</name>
<affiliation><nlm:affiliation>Author Affiliations: Faculty of Medicine and Health Sciences, Department of Public Health, University Centre for Nursing & Midwifery, Ghent University (Ms Belpame and Drs Beeckman, Van Hecke, and Verhaeghe); and Medical Oncology (Mrs Decoene) and Adult Haematology and Stem Cell Transplantation (Mrs Quaghebeur), University Hospital Ghent (Dr Van Hecke), Belgium; and Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, the Netherlands (Dr Kars).</nlm:affiliation>
</affiliation>
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<author><name sortKey="Kars, Marijke C" sort="Kars, Marijke C" uniqKey="Kars M" first="Marijke C" last="Kars">Marijke C. Kars</name>
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<author><name sortKey="Beeckman, Dimitri" sort="Beeckman, Dimitri" uniqKey="Beeckman D" first="Dimitri" last="Beeckman">Dimitri Beeckman</name>
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<author><name sortKey="Decoene, Elsie" sort="Decoene, Elsie" uniqKey="Decoene E" first="Elsie" last="Decoene">Elsie Decoene</name>
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<author><name sortKey="Quaghebeur, Marijke" sort="Quaghebeur, Marijke" uniqKey="Quaghebeur M" first="Marijke" last="Quaghebeur">Marijke Quaghebeur</name>
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<author><name sortKey="Van Hecke, Ann" sort="Van Hecke, Ann" uniqKey="Van Hecke A" first="Ann" last="Van Hecke">Ann Van Hecke</name>
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<author><name sortKey="Verhaeghe, Sofie" sort="Verhaeghe, Sofie" uniqKey="Verhaeghe S" first="Sofie" last="Verhaeghe">Sofie Verhaeghe</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">The 3-Phase Process in the Cancer Experience of Adolescents and Young Adults.</title>
<author><name sortKey="Belpame, Nathalie" sort="Belpame, Nathalie" uniqKey="Belpame N" first="Nathalie" last="Belpame">Nathalie Belpame</name>
<affiliation><nlm:affiliation>Author Affiliations: Faculty of Medicine and Health Sciences, Department of Public Health, University Centre for Nursing & Midwifery, Ghent University (Ms Belpame and Drs Beeckman, Van Hecke, and Verhaeghe); and Medical Oncology (Mrs Decoene) and Adult Haematology and Stem Cell Transplantation (Mrs Quaghebeur), University Hospital Ghent (Dr Van Hecke), Belgium; and Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, the Netherlands (Dr Kars).</nlm:affiliation>
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<author><name sortKey="Kars, Marijke C" sort="Kars, Marijke C" uniqKey="Kars M" first="Marijke C" last="Kars">Marijke C. Kars</name>
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<author><name sortKey="Beeckman, Dimitri" sort="Beeckman, Dimitri" uniqKey="Beeckman D" first="Dimitri" last="Beeckman">Dimitri Beeckman</name>
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<author><name sortKey="Decoene, Elsie" sort="Decoene, Elsie" uniqKey="Decoene E" first="Elsie" last="Decoene">Elsie Decoene</name>
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<author><name sortKey="Quaghebeur, Marijke" sort="Quaghebeur, Marijke" uniqKey="Quaghebeur M" first="Marijke" last="Quaghebeur">Marijke Quaghebeur</name>
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<author><name sortKey="Verhaeghe, Sofie" sort="Verhaeghe, Sofie" uniqKey="Verhaeghe S" first="Sofie" last="Verhaeghe">Sofie Verhaeghe</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adaptation, Psychological (MeSH)</term>
<term>Adolescent (MeSH)</term>
<term>Adult (MeSH)</term>
<term>Attitude to Health (MeSH)</term>
<term>Cancer Survivors (psychology)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Neoplasms (psychology)</term>
<term>Qualitative Research (MeSH)</term>
<term>Quality of Life (psychology)</term>
<term>Social Support (MeSH)</term>
<term>Young Adult (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Cancer Survivors</term>
<term>Neoplasms</term>
<term>Quality of Life</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adaptation, Psychological</term>
<term>Adolescent</term>
<term>Adult</term>
<term>Attitude to Health</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Qualitative Research</term>
<term>Social Support</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>When confronted with cancer, adolescents and young adults (AYAs) enter a psychosocial trajectory. Previous research has acknowledged the importance of care adjusted to the specific needs of AYAs. To develop AYA-focused care, in-depth knowledge about the experiences of AYAs with cancer is necessary.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>The purposes of this study were to discover the psychosocial experiences of and their meanings for AYAs enduring cancer, as well as its treatment and follow-up, and to capture the basic social psychological process that shaped these experiences.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>This was a qualitative study in which individual semistructured interviews were conducted with 23 participants aged 15 to 25 years.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>A 3-phase process was identified, which demonstrated alterations in the AYAs' experiences and their underlying meanings: (1) maintaining normal life was essential, (2) normal life was slipping away, and (3) evolving toward a new normal life after treatment. Certain core dynamics were present in these 3 phases. Throughout the cancer trajectory, the AYAs attempted to maintain control, redefine the self, and incorporate their cancer experience to the long-term course of life and had varying expectations of their social networks.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Understanding the process that AYAs with cancer go through and taking into account their experiences can facilitate better psychosocial care for this emotionally vulnerable population.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>IMPLICATIONS FOR PRACTICE</b>
</p>
<p>Healthcare professionals need to take a patient-centered approach, with a focus on communication, to meet the needs of AYAs throughout the cancer trajectory.</p>
</div>
</front>
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<AbstractText Label="OBJECTIVE">The purposes of this study were to discover the psychosocial experiences of and their meanings for AYAs enduring cancer, as well as its treatment and follow-up, and to capture the basic social psychological process that shaped these experiences.</AbstractText>
<AbstractText Label="METHODS">This was a qualitative study in which individual semistructured interviews were conducted with 23 participants aged 15 to 25 years.</AbstractText>
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